@article{oai:dmu.repo.nii.ac.jp:00005189,
 author = {安藤, 裕輔 and 今高, 城治 and 大坪, 勇人 and 髙栁, 文貴 and 吉原, 重美 and Ando, Yusuke and Imataka, George and Otsubo, Yuto and Takayanagi, Fumitaka and Yoshihara, Shigemi},
 issue = {1},
 journal = {Dokkyo Journal of Medical Sciences},
 month = {Jul},
 note = {急性脳症後遺症により医療的ケアを要する重度心身障害児のコロナ病棟管理について報告する．感染初期の一般状態は，在宅管理が可能であった．第8病日に急激な酸素化不良に陥り，胸部CTで両肺野の浸潤影を認め，急性肺障害と診断した．母子同室でコロナ病棟に入院し，人工呼吸器管理下に，レムデシビルとデカドロンの加療を行い，入院17日目に退院した．スタッフは障害児の重症肺炎の管理に際し，薬の投薬時間や医療品の管理法を検討した．感染予防にも留意し，入室とケアの時間を最小限に制約した結果，二次感染者はなかった．濃厚な医療的ケアを要する障害児のコロナ病棟管理では，家族の協力と，現場に合わせた柔軟な工夫が必要であった．, We report that the management for children with severe motor and intellectual disabilities who required medical care in a specialized ward for control the COVID-19 infection. The early stage of the infection could be managed as at outpatient department. On the 8th day, she suffered from respiratory failure. Chest CT showed infiltration shadows in both lungs. Then, she was diagnosed with acute lung injury. 
　She and her mother were admitted to a specialized ward for coronavirus infection. She was successfully treated with remdesivir and dexamethasone, with mechanical ventilation. And she was discharged on the 17th day from the admission.
　For managing her severe pneumonia in special hospital environment for COVID-19, the medical staff considered how to manage the time of medical care and medical supplies. As a result, we archived attention to preventive infection control and minimizing visits and care times. In the management of the COVID-19 infection in children with neurological sequelae, which requiring medical care, family cooperation and hospital room adaptations are important.},
 pages = {33--38},
 title = {新型コロナウイルス感染症に罹患した重症心身障害児の入院管理における問題点},
 volume = {49},
 year = {2022}
}